Case report: Acute spontaneous achilles tendon rupture in a patient with giant cell arteritis

T. Jared Bunch, Gail A. Welsh, Dylan V. Miller, V. Santhi Swaroop

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

We report a case of a 69-yr-old previously healthy man with acute spontaneous Achilles tendon rupture and severe tendonitis, which occurred after 2 weeks of steroid therapy for newly diagnosed giant cell arteritis. The Achilles tendon rupture was treated conservatively and the tendonitis resolved incrementally with steroid dose reduction. The patient made a complete recovery. In view of the widespread use of steroids in practice, this novel case presentation has important clinical implications. The tendon rupture early in the course of high-dose steroid therapy expands the understanding of this adverse reaction, which was previously reported only with long-term steroid therapy. The severe tendonitis responded to steroid therapy reduction suggesting a dose correlation. This report adds to a sole previous report of a spontaneous Achilles tendon rupture associated with giant cell arteritis.

Original languageEnglish (US)
Pages (from-to)326-328
Number of pages3
JournalAnnals of Clinical and Laboratory Science
Volume33
Issue number3
StatePublished - Jun 1 2003

Keywords

  • Achilles tendon
  • Prednisone
  • Ruptured tendon
  • Temporal arteritis
  • Tendonitis

ASJC Scopus subject areas

  • Microbiology
  • Immunology and Allergy
  • Pathology and Forensic Medicine
  • Immunology
  • Molecular Biology
  • Hematology
  • Clinical Biochemistry
  • Medical Laboratory Technology

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